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NY-Fee-OPH1-Renewal-20220401-20230331

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ny-fee-oph1-renewal-20220401-20230331
Approval Date
Effective Date
State
New York
Payment Type
Fee schedule
Provider Class
Outpatient hospital service
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NY-Fee-HCBS5-New-20220401-20230331

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ny-fee-hcbs5-new-20220401-20230331
Approval Date
Effective Date
State
New York
Payment Type
Fee schedule
Provider Class
HCBS/personal care services
Review Type
New
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NY-Fee-HCBS-Renewal-20220401-20230331

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
ny-fee-hcbs-renewal-20220401-20230331
Approval Date
Effective Date
State
New York
Payment Type
Fee schedule
Provider Class
HCBS/personal care services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NM-Fee-OTH2-Renewal-20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
nm-fee-oth2-renewal-20230101-20231231
Approval Date
Effective Date
State
New Mexico
Payment Type
Fee schedule
Provider Class
Other
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NM-Fee-HCBS-Renewal-20230101-20231231

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
nm-fee-hcbs-renewal-20230101-20231231
Approval Date
Effective Date
State
New Mexico
Payment Type
Fee schedule
Provider Class
HCBS/personal care services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NC-Fee-NF-BHO-Amend-20210701-20220630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
nc-fee-nf-bho-amend-20210701-20220630
Approval Date
Effective Date
State
North Carolina
Payment Type
Fee schedule
Provider Class
Behavioral health outpatient services
Nursing facility services
Review Type
Amendment
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NC-Fee-HCBS-BHO-Amend-20210701-20220630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
nc-fee-hcbs-bho-amend-20210701-20220630
Approval Date
Effective Date
State
North Carolina
Payment Type
Fee schedule
Provider Class
Behavioral health outpatient services
HCBS/personal care services
Review Type
Amendment
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NC-Fee-BHO-Amend-20210701-20220630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
nc-fee-bho-amend-20210701-20220630
Approval Date
Effective Date
State
North Carolina
Payment Type
Fee schedule
Provider Class
Behavioral health outpatient services
Review Type
Amendment
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NC-Fee-BHO-Oth-Amend-20210701-20220630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
nc-fee-bho-oth-amend-20210701-20220630
Approval Date
Effective Date
State
North Carolina
Payment Type
Fee schedule
Provider Class
Behavioral health outpatient services
Other
Review Type
Amendment
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NC-Fee-HCBS-BHO-Renewal-20230701-20240630

Submitted by rajesh.kolli@t… on
File - Approval Letter Media
nc-fee-hcbs-bho-renewal-20230701-20240630
Approval Date
Effective Date
State
North Carolina
Payment Type
Fee schedule
Provider Class
Behavioral health outpatient services
HCBS/personal care services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date
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